Dimitriou-Ciaccio, Stacey Ann

Dimitriou-Ciaccio, Stacey Ann is an individual health care provider with primary practice located at 101 Hospital Road Medical Center, Patchogue NY 11772. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Dimitriou-Ciaccio, Stacey Ann can be contacted via phone (631) 687-2953.

Contact Information

Primary practice address
101 Hospital Road Medical Center Patchogue NY 11772
Phone: (631) 687-2953
Fax: (610) 617-6280
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 009689 New York

Profile Details

NPI number 1396788766
LBN Legal business name Dimitriou-Ciaccio, Stacey Ann
Credentials RPA C
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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